Provider Eligibility

(A) In State. The following requirements apply when the audiology practice is located in Massachusetts. (1) Independent Audiologist. An independent audiologist engaged in private practice in Massachusetts is eligible to participate in MassHealth only if the individual is licensed as an audiologist by the Commonwealth of Massachusetts, Division of Professional Licensure, Board of Registration in Speech-Language Pathology and Audiology. (2) Acute Hospital Outpatient Department, Hospital-Licensed Health Center, or Other Satellite Clinic. An acute hospital’s outpatient department, hospital-licensed health center, or other satellite clinic that participates in MassHealth pursuant to the Executive Office of Health and Human Services (EOHHS) Acute Hospital Request for Applications (RFA) and contract is eligible to provide services designated as hearing aid services in Subchapter 6 of the MassHealth Audiologist Manual for providers under 130 CMR 426.000. (B) Out of State. To participate in MassHealth, an independent audiologist practicing outside of Massachusetts must: (1) participate in the Title XIX medical assistance program in the audiologist’s own state; (2) in a state that licenses independent audiologists, be licensed by the appropriate licensing agency in its own state; and (3) possess a Certificate of Clinical Competence in Audiology (CCC-A) issued by the American Speech-Language-Hearing Association (ASHA), if any of the following conditions apply: (a) the audiologist’s own state does not license independent audiologists; (b) the audiologist’s own state does license independent audiologists, but such licensure is not in full compliance with minimum state licensure requirements, specified in 42 CFR 440.110(3); or (c) the audiologist’s own state does license independent audiologists, but such licensure does not, at minimum, meet the academic and clinical requirements of the CCC-A.